Spontaneous hypopharyngeal perforation.
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概要
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A case of spontaneous perforation of the hypopharynx accompanied by acute mediastinitis is reported. An 8-year-old male was admitted to our hospital for sudden dyspnea. On admission, he had a low grade fever, subcutaneous emphysema, and pneumomediastinum. The next day, C-reactive protein values were markedlyelevated. Radiographic findings showed dilatation of the right upper mediastinum and leakage of contrast material from the right piriform sinus or just below it. As no underlying disease was present and his history was unremarkable, neither chest trauma nor a foreign body was considered likely. Spontaneous perforation was suspected. Hypopharyngeal or esophageal perforation should be considerd in a patient presenting with pneumomediastinum and findings of severe inflammation. Early diagnosis and treatment of acute mediastinitis are essential for lifesaving.
- 一般社団法人 日本救急医学会の論文
一般社団法人 日本救急医学会 | 論文
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